Stroke ulang merupakan bahaya yang mengancam penderita stroke yang dapat berakibat fatal dan mengakibatkan kualitas hidup yang lebih buruk dari serangan pertama. Salah satu hal yang menyebabkan terjadinya stroke ulang adalah karena pasien tidak mengendalikan factor resiko yang ada (Misbach & Kalim, 2006).Faktor resiko yang diketahui bisa dijadikan dasar untuk mencegah terjadinya stroke berulang (Nurhadi, 2005). Pasien yang pernah mengalami stroke 30% kemungkinan akan mengalami stroke berulang apabila tidak bisa mengendalikan factor resiko stroke. Penelitian ini bertujuan untuk mendapatkan gambaran tentang factor-faktor yang berkontribusi terhadap kejadian stroke ulang pada pasien stroke di RSUD Dr. Soekardjo Kota Tasikmalaya. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional, dimana pengukuran variabel-variabelnya dilakukan hanya satu kali. Hasil penelitian menunjukkan terdapat hubungan antara jenis kelamin, kadar kolesterol darah, kadar gula darah dan kebiasaan minum kopi dengan kejadian stroke ulang. Saran diberikan kepada perawat dan responden agar selalu memperhatikan factor-faktor yang bisa menyebabkan terjadinya stroke ulang.

BACKGROUND: Dysphagia is one of the problems that stroke patients often experience. Stroke patients who experience dysphagia often do not get attention because of the lack of early screening, which will cause delays in treatment. To overcome this, nurses have an essential role from the initial screening phase to independent nursing interventions. In screening for dysphagia, nurses can use various methods: Gugging Swallowing Screen (GUSS). AIM: The purpose of the study was to identify and explain association between respondent characteristics and the GUSS method of swallowing ability scores in stroke patients. METHODS: This research was a descriptive study, with a total sample of 20 people. The sampling technique used was consecutive sampling. RESULTS: The results showed that based on the results of the screening test for swallowing ability using the GUSS method, it was found that most of the respondents (75%) belonged to the category of severe dysphagia. Dysphagia was associated with age (p < 0.001), gender (p = 0.000), type of stroke (p < 0.001), comorbidities (p < 0.001), and the frequency of stroke attacks (p < 0.001). CONCLUSION: This study concludes that there is association between respondent characteristics: Age, gender, type of stroke, comorbidities, and frequency of attacks with the score of swallowing ability of stroke patients.

Insomnia merupakan gangguan tidur yang paling sering terjadi pada pasien hemodialisis, prevalensinya lebih tinggi dibanding pada populasi umum. Berbagai faktor yang diduga berhubungan dengan terjadinya insomnia pada pasien hemodialisis adalah demografi, gaya hidup, psikologis, biologis, dan faktor dialisis. Tujuan penelitian potong lintang ini untuk mengidentifikasi faktor yang berhubungan dengan kejadian insomnia pada pasien yang menjalani hemodialisis. Sebanyak 106 responden yang berasal dari RSUD Kota Tasikmalaya dan Garut dilibatkan. Hasil penelitian menunjukkan bahwa insomnia dialami oleh 58 (54,7%) responden, dengan rerata usia 47,66±13,36 tahun. Tidak ditemukan hubungan antara insomnia dengan faktor demografi, gaya hidup, faktor biologis, shift HD dan Kt/V hemodialisis. Insomnia berhubungan dengan kecemasan (p= 0,007; OR= 3,3), dan lama waktu menjalani hemodialisis (p= 0,040; OR= 2,48). Kecemasan dan lama waktu menjalani hemodialisis merupakan faktor independen yang berhubungan dengan kejadian insomnia. Perlu dilakukan penelitian lanjutan, yaitu menguji variabel lain seperti keluhan fisik akibat kondisi uremia yang sering dialami pasien hemodialisis.

In the late 20th century, heart disease and blood vessels, including hypertension are expected to be the leading cause of death developed and developing countries, so that prevention and handling efforts need to be done through both pharmacological and non-pharmacological therapies. Nonpharmacological therapies including lifestyle modification, stress management, and anxiety are the first steps that must be taken. One of the efforts to manage stress and anxiety that can be done is by progressive muscle relaxation. The aim of this study was to obtain an overview of the effect of progressive muscle relaxation on blood pressure reduction in hypertensive patients. The research design used method quasi-experimental, with a pretest and posttest group design with a control group. The sampling technique was carried out by purposive sampling, totaling 52 people, namely 26 people in the intervention group and 26 people in the control group. Statistical analysis used was univariate, bivariate using dependent t-test (paired t-test) to test differences in blood pressure before and after exercise and independent t-test (unpaired t-test) to test differences in blood pressure after exercise in the control group and intervention group. The results showed that there were significant differences in the mean systolic and diastolic blood pressure between before and after PMR intervention (p-value = 0,000), but there was no significant difference in the mean systolic and diastolic blood pressure after intervention in both groups of respondents. In the intervention group, there was a decrease in systolic BP of 24.54 mmHg and a diastolic BP of 16.54 mmHg, whereas in the control group there was a decrease in systolic BP of 11.2 mmHg and a diastolic TD of 5.5 mmHg. The study recommends the need for the use of therapeutic PMR as a complementary therapy in treating patients with hypertension and need further research on the effect of PMR modified with other nonpharmacologic therapies.

To control the burden of the disease, surveillance system have a major role. The aim of study is to evaluate DHF surveillance system particularly in input indicators such as personnel, finance, standard and guidelines, forms, and also computers. A quantitative approach with descriptive cross sectional study design was conducted in August 2017. Population are all DHF surveillance officer in primarily health care around Yogyakarta City. Total sampling as sampling method and interviewed using structured questionnaire for data collection. Univariate data analysis involved to describe percentage distribution of research variables.Personnel indicators, average of age is 46 years old, 88.89% graduated from D3 environmental health. 44.44% have attended training for DHF Surveillance and 61% have doubled job. In budgeting aspect, 72.22% have funding for operational of DHF surveillance and most of it came from regional expenditure budget. More than 70% Primarily Health Care have Standard Operating Procedure (SOP) and computers. For availability of forms, 38% did not have forms K-DBD, W2 DBD, KD/PKM, and DP-DBD.There are some lacks on DHF Surveillance in Yogyakarta City. Major findings of this research are, in man aspect, age and doubled job and unavailability of some important forms for DHF Surveillance such as K-DBD, W2 DBD, KD/PKM, and DP-DBD. Recommendation for Primarily Health Care are to do rejuvenation of personnel and do new staff recruitment to complete all kind of health staff that should be in there.